Studies of lower limb ischemia and renal function at the operation of abdominal aortic aneurysm.

Background: Intraluminal thrombosis in the aneurysm sac is commonly seen in abdominal aortic aneurysm (AAA). Complete acute thrombosis of an AAA is a rare and catastrophic event. Method: We report a patient with acute AAA thrombosis presenting as bilateral lower limbs critical ischemia. A79-year-old male with a past history of AAA presented with acute onset of bilateral leg pain, coolness, weakness and numbness. His lower extremity pulses including femorals were absent bilaterally on physical examination. Urgent computed tomography angiography showed an infrarenal AAA measuring 45 mm in diameter. The aneurysm sac and bilateral common iliac arteries were completely occluded. Emergency open repair of AAA and bilateral iliac thrombectomy were successfully performed under general anesthesia. Result: Bilateral femoral pulses were present and the neurological deficits were completely resolved after operation. Patient recovered well and was asymptomatic at 3-month follow-up. Conclusion: Acute thrombosis of aortic aneurysm could be an unusual cause of lower limb ischemia, prompt diagnosis followed by surgical revascularization is essential to avoid prolonged ischemia.

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A Case of Collapsed Stent Graft, Severe Lower Limb Ischemia, and Ruptured Abdominal Aortic Aneurysm Due to Type B Acute Aortic Dissection 3 Years after Endovascular Aneurysm Repair

Annals of Vascular Diseases ◽

10.3400/avd.cr.19-00142 ◽

2020 ◽

Vol 13 (3) ◽

pp. 308-311

Author(s):

Yusuke Motoji ◽

Takayoshi Kato ◽

Jun Seki ◽

Kosuke Tsumura ◽

Shinji Tomita ◽

...

Keyword(s):

Abdominal Aortic Aneurysm ◽

Lower Limb ◽

Acute Aortic Dissection ◽

Endovascular Aneurysm Repair ◽

Limb Ischemia ◽

Ruptured Abdominal Aortic Aneurysm ◽

Type B ◽

Lower Limb Ischemia ◽

Abdominal Aortic ◽

Aneurysm Repair

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A 13 cm asymptomatic abdominal aortic aneurysm complicated with arterial obstruction in the left lower limb: A Case report

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2021.102815 ◽

2021 ◽

Vol 70 ◽

pp. 102815

Author(s):

Sarya Swed ◽

Salim Tfankji ◽

Hussein Alkanj ◽

Tasneem Mohamed ◽

Nawras Alhalabi ◽

...

Keyword(s):

Abdominal Aortic Aneurysm ◽

Case Report ◽

Aortic Aneurysm ◽

Lower Limb ◽

Abdominal Aortic ◽

Left Lower Limb

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Impact of Fenestrated Endovascular Abdominal Aortic Aneurysm Repair on Renal Function

Journal of Endovascular Therapy ◽

10.1177/1526602815605311 ◽

2015 ◽

Vol 22 (6) ◽

pp. 889-896 ◽

Cited By ~ 20

Author(s):

Athanasios N. Saratzis ◽

Michael F. Bath ◽

Seamus C. Harrison ◽

Robert D. Sayers ◽

Matthew J. Bown

Keyword(s):

Renal Function ◽

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Abdominal Aortic Aneurysm Repair ◽

Abdominal Aortic ◽

Aneurysm Repair ◽

Aortic Aneurysm Repair

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The revascularization technique does not impact renal function after proximal abdominal aortic aneurysm open repair

The Journal of Cardiovascular Surgery ◽

10.23736/s0021-9509.20.11202-3 ◽

2021 ◽

Vol 62 (1) ◽

Author(s):

Daniele MASCIA ◽

Alessandro GRANDI ◽

Luca BERTOGLIO ◽

Andrea KAHLBERG ◽

Concetta SARACINO ◽

...

Keyword(s):

Renal Function ◽

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Open Repair ◽

Abdominal Aortic

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Renal Function is the Main Predictor of Acute Kidney Injury after Endovascular Abdominal Aortic Aneurysm Repair

Annals of Vascular Surgery ◽

10.1016/j.avsg.2015.10.010 ◽

2016 ◽

Vol 31 ◽

pp. 52-59 ◽

Cited By ~ 23

Author(s):

Athanasios Saratzis ◽

Sarah Nduwayo ◽

Pantelis Sarafidis ◽

Robert D. Sayers ◽

Matthew J. Bown

Keyword(s):

Acute Kidney Injury ◽

Renal Function ◽

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Kidney Injury ◽

Abdominal Aortic Aneurysm Repair ◽

Abdominal Aortic ◽

Aneurysm Repair ◽

Aortic Aneurysm Repair

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Vascular surgery

10.1093/med/9780199608911.003.0008 ◽

2017 ◽

Author(s):

Anil Agarwal ◽

Neil Borley ◽

Greg McLatchie

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Vascular Surgery ◽

Lower Limb ◽

Varicose Veins ◽

Bypass Graft ◽

Ruptured Abdominal Aortic Aneurysm ◽

Foam Sclerotherapy ◽

Aortobifemoral Bypass ◽

Abdominal Aortic

This chapter covers vascular operations. Treatments described for varicose veins are high tie and multiple avulsions, radio-frequency ablation, and foam sclerotherapy. Repair of elective and ruptured abdominal aortic aneurysm and endovascular repair are described. Operations like aortobifemoral bypass, femoral popliteal above- and below-knee bypass graft, and femoro-distal bypass are included. Urgent operations like femoral and brachial embolectomy, lower limb fasciotomy are also described. In addition, above- and below-knee amputations and vascular access are included.

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